Depression
Prozac joke.Actually, prozac usually doesn't make people high or happy (although tranquillizers can do that). It merely makes people feel more normal.
However, a small subset of patients with the tendency toward bipolar illness (what used to be called Manic depressive) can flip from depression into a manic mood when treated with an antidepression medicine.
So yes, it's funny...not quite true but funny.
But depression is serious. And I have a long post about it at Bloggernews LINK
The spiritual part of the article is excerpted below:
Most mild depressions that go along with life go away with no treatment. So many of those we docs see and prescribe medicine never take the pills, and get better simply because we listened to them.
But I used to remind my patients that they couldn’t separate the head from the body, nor the mind from the body and the body from the soul. And that is where a good doctor comes in handy if a simple depression doesn’t go away.
Medical problems can cause depression, and so can chemical imbalances in the brain.
There is no talk therapy that cures a major depression, or the depressive phase of a bipolar illness. Some things need psychiatrists and strong medicine. If you don’t treat a person with severe depression, some of them commit suicide. You don’t tell a person with pneumonia to “put up with it so your body will get stronger” because people die of pneumonia. Similarly we don’t tell a deeply depressed person: put up with it and you’ll get over it, because some of them don’t get over it, they get dead.
.....Part of the exam is to check for medical causes of depression. Several times I have diagnosed “depression” only to have the lab tests come back later and show thyroid problems or anemia or diabetes or mild hepatitis. Which is, of course, why I did the lab tests in the first place: to check out problems that didn’t show on exam.
But sometimes more subtle reasons for the depression are revealed:unresolved grief, unforgiveness, or guilt over doing something wrong.
I remember one lady who was in counselling and on prozac who came to me for her refill. She was not feeling better, and since the appointment with our psychiatrist was not for another six weeks, I started probing various issues. I knew she was active in a certain church, and I asked if she had asked for them to lay hands on her to ask God to heal her…and she began to cry… for behind her depression was a terrible and unresolved anger against God after watching her mother die of lung cancer. She was ashamed to admit this anger, and indeed she saw it as the unforgivable sin. This ended up in a long discussion and suggestions to make an appointment with a different pastor who was good in grief counselling. Alas, not all pastors have ever gone through the crisis of faith that leads to a more mature concept of God, but there are some, and every good doctor and psychologist have a list of which pastor is good for this type of counseling.
For guilt, unforgiveness/anger and grief, a mature religion is better at these things than psychology. And many traditional religions and belief systems have Sacraments, prayer services, laying on of hands, cermonies and sings that have a communal aspect and a connection to the deity that helps a troubled soul by assuring them of love of their fellow man, love of the deity, and that there may be no easy answer, but there will be an ultimate answer.
In summary, depression has physical, biochemical, mental, and spiritual roots, but we docs are better at treating the biochemical and physical aspect. But often this is enough, since by decreasing the lethargy of depression, a person then is able to work on the psychological roots (i.e. cognitive therapy) or the spiritual ones.
Labels: medicine


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